Stark, Nancy N

Stark, Nancy N is an individual health care provider with primary practice located at 6333 Telegraph Ave , Oakland CA 94609-1359. She recently has 5 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Stark, Nancy N can be contacted via phone (510) 923-1099.

Contact Information

Primary practice address
6333 Telegraph Ave Oakland CA 94609-1359
Phone: (510) 923-1099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 10258 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 10258 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10258 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 518409 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 10258 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 184455 Massachusetts

Profile Details

NPI number 1659483071
LBN Legal business name Stark, Nancy N
Credentials RN, ANP, PMHNP, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 19th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659483071 NPPES
California Other 35515 UCSF PROVIDER NUMBER
California MEDICAID 201102900B UCSF PROVIDER NUMBER
California Other 077834 UCSF PROVIDER NUMBER

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